By Dina George DFY2 Oral and Maxillofacial Surgery Princess Alexandra Hospital, Harlow

KEY SKILLSBy Dina GeorgeDFY2 Oral and Maxillofacial SurgeryPrincess Alexandra Hospital, Harlow

What are your career goals?

Stay in practice? Specialise? Academic? House-wife/ house husband? Change career altogether? Any other?

Learning outcomes

• Understand what a key skills portfolio is and why it is necessary

• Relevance of Key skills portfolio to the MJDF examination

• Examples of organising key skills

• Be able to plan writing up reflective account

• Know about variety of evidence available and how to sift through evidence to include within portfolio

• Reference material

What is a key skills portfolio?

A portfolio can be defined as a collection of material that records and reflects upon key events and processes – FGDP

Why do you need to do it?• Essential requirement for vocational training year!

• Demonstrates knowledge in the core areas and demonstrates that you are a reflective practitioner

• Important for job interviews – especially DFY2 interviews

• Part of ‘Portfolio of evidence’ for MJDF examination

MJDF Exam

3 main parts:

1) Part 1 – Written paper( MCQ’s)

2) Part 2 - OSCE and structured clinical reasoning exercises

3) Portfolio of evidence – need key skills!

Key skills

Need to do 5 key skills in total – 3 mandatory

2 optional

3 core key skills which are mandatory:

1) Infection control2) Radiography and radiation protection3) Medical emergencies

2 optional to be selected from:1) Health and safety in clinical practice2) Record keeping3) Team work (managing the dental team)4) Law and ethics5) Prevention and Dental Public Health

How to organise Key skills

Each key skill has 3 parts :-

1) Factual write up – what you actually do in practice

2) Reflection 3) Evidence Word limit for each key skill is ~

2000 words

All needs to be well organised!!! – use different colours, labelled tabs, dividers, bullet points and highlight relevant parts

Factual write up

Follow templates by FGDPBullet points wherever possibleUse tables/flow diagrams if you canClear headings and subdivisions Include references at the end

Infection Control key skill – factual write up

1) How does the practice manage infection control procedures? Is there a policy?

2) What is the practice policy on immunisation of staff? Who is responsible for this?

3) How do you cope with the problem of aerosols?

4) How are instruments cleaned and sterilised?

5) How are staff trained in the principles of infection control procedures?

6) What is your inoculation injuries policy?

7) Describe an inoculation injury and how you handled it.

Reflective account

Reflection provides a way to improve your practice

by critically analysing your actions. Assume you are an external observer and

reflect on:

1) what went well? 2) what hasn’t gone well? 3) how can improvements be made?4) what have you learnt from the

situation?5) what changes can you introduce to

your practice as a result?

PICK ONE ASPECT OF CROSS –INFECTION AT YOUR

PRACTICE TO REFLECT ON

Reflection Exercise

1) what went well?

2) what hasn’t gone well?

3) how can improvements be made?

4) what have you learnt from the situation?

5) what changes can you introduce to your practice as a result?

Evidence

Quality not quantity – don’t include blank forms!

Use cross referencing if a piece of evidence is used more than once

Include as many photos as possibleDon’t forget to anonymise evidence Include a variety

Cross infection Key Skill - Evidence

What evidence can be included for the cross- infection key skill?

Some evidence I used

Practice’s infection control policyChecklist outlining essential

procedures that need to be performed each morning and evening.

Hand washing protocolStaff immunisation recordPhoto of autoclaveMinutes of a practice meeting on x-

infectionCopy of an accident book entry

Examples of other evidence I used

Medical history form (filled in) Medical emergencies course certificatePhotos of our practice’s drug boxCopy of a referral letter (filled in) Photo of local rules displayed next to

x-ray machineRisk assessment carried out by the

practice

Reference material

Guide to producing a portfolio of evidence by FGDP

(includes templates for key skills by FGDP )– ask Uday/see FGDP website

MJDF Portfolio guide – gives examples of reflection

(from mjdf.org.uk website)

Reference material for individual key skills

‘RESUS’ website

HTM 01-05 booklet

Selection Criteria for Dental Radiography, FGDP

Textbooks –e.g ‘Essentials of dental radiography and radiology’ (by Eric Whaites)

Difficulties you may face

Not knowing where to start!

Not enough time

Challenges with finding evidence items/policies etc

HARD WORK

Best piece of advice I can give is

START EARLY!!!!

Other helpful tips

Do a little at a time

Get help from your trainers/practice managers

Be organised, know what evidence you want to include

Do not plagiarise information

ANY QUESTIONS?

DFY2 Oral and

maxillofacial surgery

Sequence of events

Application form – end of Jan/early Feb

+ 2 key skills Interviews – early MarchSHO job starts first week August

Induction Course - mid July

Hospital Posts EOE

Beds/Herts and Bucks – Base is Luton and Dunstable hospital

Cambridge – Addenbrooke’s Hosp. Peterborough – Peterborough and

Stamford Hosp. Essex - Basildon and Thurrock hosp. - Princess Alexandra (Harlow) Norfolk - QE Hosp (Kings Lynn) - Norfolk and Norwich hosp Suffolk – Ipswich Hosp.

Things you will be doing as an SHO

Attending ward round with registrars/consultants

Assisting in theatres – excision of BCC’s and repair, wisdom teeth extractions, repairing # mandibles

Performing biopsiesOn calls – Examining patients in A&E

- Suturing facial/ intra-oral lacerations

Why be an SHO?

Great clinical experienceGives a taste of hospital practice Good to do when you are

young/newly qualifiedNeed to do it if you want to

specialise Fixed pay regardless of number of

patients seen – can be good/bad

If you are unsure of what you want to

do in the future this may be a good way to decide!